caa a22 4500 465771920 CHVBK 20180323111931.0 cr unu---uuuuu 170327e19901101xx s 000 0 eng 10.1007/BF00174330 doi (NATIONALLICENCE)springer-10.1007/BF00174330 Acute osteomyelitis and septic arthritis in children: a spectrum of disease [Elektronische Daten] [E. Hoffman, C. Knudsen, M. Paterson] A spectrum of acute osteomyelitis and septic arthritis seen in children was studied, identifying four major groups, each with a different clinical presentation and different expected prognosis: (1) the usual group of osteomyelitis with a 10% incidence of poor results; (2) neonatal osteomyelitis (10% of osteomyelitis) with 25% poor results; (3) a group of severely ill patients with disseminated staphylococcal disease (10% of osteomyelitis) with 13% mortality and 38% poor results; and (4) the usual group of septic arthritis, with 5% poor results. Almost all cases of osteomyelitis were due to Staphylococcus aureus except in the neonatal group, where 28% were due to β-haemolytic streptococci. Surgical drainage was performed in 91% of the usual osteomyelitis cases, in all with disseminated staphylococcal disease, and in 88% of babies with neonatal osteomyelitis, i.e. all the cases involving a joint. Cloxacillin was the drug of choice in osteomyelitis. In septic arthritis Staph. aureus was cultured in 29%, Haemophilus influenzae in 18%, streptococcus in 12%, pneumococcus in 6%, and no growth in 33%. Open arthrotomy was performed in all cases. Cloxacillin was used for cases infected with Staph. aureus, ampicillin for H. influenzae, and penicillin for streptococcal and pneumococcal infections. Springer-Verlag, 1990 Acute osteomyelitis nationallicence Septic arthritis nationallicence Infants and children nationallicence Hoffman E. Department of Orthopaedic Surgery, University of Cape Town and Red Cross War Memorial Children's Hospital, 7700, Rondebosch, Republic of South Africa aut Knudsen C. Department of Orthopaedic Surgery, University of Cape Town and Red Cross War Memorial Children's Hospital, 7700, Rondebosch, Republic of South Africa aut Paterson M. Department of Orthopaedic Surgery, University of Cape Town and Red Cross War Memorial Children's Hospital, 7700, Rondebosch, Republic of South Africa aut Pediatric Surgery International Springer-Verlag 5/6(1990-11-01), 382-386 0179-0358 5:6<382 1990 5 383 https://doi.org/10.1007/BF00174330 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00174330 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hoffman E. Department of Orthopaedic Surgery, University of Cape Town and Red Cross War Memorial Children's Hospital, 7700, Rondebosch, Republic of South Africa aut NATIONALLICENCE 700 1- Knudsen C. Department of Orthopaedic Surgery, University of Cape Town and Red Cross War Memorial Children's Hospital, 7700, Rondebosch, Republic of South Africa aut NATIONALLICENCE 700 1- Paterson M. Department of Orthopaedic Surgery, University of Cape Town and Red Cross War Memorial Children's Hospital, 7700, Rondebosch, Republic of South Africa aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/6(1990-11-01), 382-386 0179-0358 5:6<382 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer